Individual
DR. ROGER REYNOLDS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3809 FORRESTGATE DR STE A, WINSTON SALEM, NC 27103-2982
(336) 768-9010
Mailing address
3809 FORRESTGATE DR STE A, WINSTON SALEM, NC 27103-2982
(336) 768-9010
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3599
NC
Other
Enumeration date
04/08/2007
Last updated
07/08/2007
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